NPIMap

Organization Active NPI

WCS Occupational Rehabilitation & Sports Medicine, Inc.

  • Physical Therapist
  • Flossmoor, IL
National Provider Identifier
1508184177
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070009229 Issued in IL
Legal business name
WCS OCCUPATIONAL REHABILITATION & SPORTS MEDICINE, INC.
Practice address
19801 Governors Highway
Suite 110
Flossmoor, IL 60422-4363
Phone
(708) 671-0771
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie Carter
Title
Director of Administration
Phone
(708) 671-0771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070009229 IL Primary

Addresses

Primary practice location

19801 Governors Highway
Suite 110
Flossmoor, IL 60422-4363

Mailing address

12400 S Harlem Ave
Palos Heights, IL 60463-1440

Other identifiers 3

IdentifierTypeStateIssuer
692689OtherILUNITED HEALTHCARE
7454077OtherILAETNA
1622333OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
WCS Occupational Rehabilitation and Sports Medicine Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19801 Governors Hwy
Ste 110
Flossmoor, IL 60422
Phone (708) 671-0771

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1508184177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HIGHWAY",
            "address_2": "SUITE 110",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224363",
            "telephone_number": "708-671-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCS OCCUPATIONAL REHABILITATION & SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "708-671-0771"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "692689",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7454077",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1622333",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.